Individual
MARY JULIE CROCCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
4422 3RD AVE, DEPARTMENT OF OBSTETRICS & GYNECOLOGY, BRONX, NY 10457-2545
(718) 960-9415
Mailing address
4422 3RD AVE, DEPARTMENT OF OBSTETRICS & GYNECOLOGY, BRONX, NY 10457-2545
(718) 960-9415
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
000124
CT
367A00000X
Advanced Practice Midwife
Primary
000158
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000124
CONNECTICARE
CT
01
—
00195491003
UHC
CA
05
—
004180452
—
CT
01
—
004180452-00
ANTHEM
CT
01
—
0508566
CIGNA
CT
01
—
OV6320
HEALTHNET
CT
01
—
P1904733
OXFORD
CT
Enumeration date
01/31/2006
Last updated
05/01/2012
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